$150K - 250K a year
Lead architecture and reliability of telephony and real-time voice systems, manage engineering teams, and oversee healthcare data integrations.
7+ years engineering experience with 3+ years leading teams in real-time voice agent development, expertise in telephony, ASR/TTS, cloud infrastructure, and healthcare data standards.
Note: The job is a remote job and is open to candidates in USA. Sully.ai is a pioneering company in the healthcare technology space, seeking a Head of Engineering to lead their voice agent initiatives. The role involves overseeing the architecture and reliability of telephony and real-time voice systems while building and managing a high-performing engineering team. Responsibilities • Own voice stack architecture across telephony, ASR, TTS, diarization, dialog, and EHR write-back. • Drive reliability and latency with SLAs, error budgets, incident response, and observability. • Lead enterprise EHR integrations and multi-office configuration tooling for large practices. • Build scheduling sync that is conflict free across EMRs and calendars. • Hire, coach, and organize teams for platform, voice, SMS, integrations, and dashboard. Skills • 7+ years engineering with 3+ years leading teams shipping real-time voice agents at scale. • Deep telephony and realtime expertise across Twilio or SIP, WebRTC or gRPC, Kafka or queues. • Strong ASR and TTS production experience and prompt or policy or routing for LLM agents. • Proven CI or CD, Kubernetes, Docker, and cloud on GCP or AWS or Azure. • Track record reducing p95 or p99 latency and raising correctness in production ML systems. • Healthcare data standards and EHR integrations across FHIR or HL7. • Multilingual voice systems and medical terminology accuracy work. • SRE or DevOps leadership and automated QA at safety bar. Benefits • Competitive Compensation • Equity Company Overview • The first-ever autonomous OS for healthcare It was founded in 2023, and is headquartered in San Francisco, California, USA, with a workforce of 51-200 employees. Its website is https://sully.ai/.
This job posting was last updated on 10/20/2025